Hemangiomas and vascular malformations are the most common group of pediatric blood surface disorders that affect not only health but also aesthetics. The treatment of hemangiomas differs from one site to another, so a proper treatment not only allows the disease to be treated, but also greatly reduces the aesthetic impact. Hemangioma is the common strawberry hemangioma, while others are not called hemangioma but vascular malformations (cavernous hemangioma and trapezius hemangioma, etc.), which are still referred to collectively as hemangioma for the convenience of people seeking medical treatment. The common treatment methods in the order of no effect on the child’s appearance and growth are: 1. Laser treatment: Laser should be preferred! It is suitable for superficial hemangioma (thickness within 3mm) in the genital organs of the head and face, including the breast area, and can leave no scar or very slight scar, especially for hemangioma with small area, or hemangioma with difficulty in surgical excision of large area and multiple parts. The advantage is that there is no hospitalization, no anesthesia, no surgery, no pain, and easy for parents to accept. The disadvantage is that it is only suitable for superficial hemangioma, and once the hemangioma becomes hyperplastic, medication is needed or surgery is required. Because a child is in the peak of growth within one year of age, as the body grows, so must the hemangioma. To use an analogy, people expect the crops in the ground to thrive, and if they are regularly fertilized and watered, the crops will definitely grow well, but the grass in the ground will also grow well, and the healthier the child is, the faster the hemangioma will grow along with it. There are also many types of lasers, and the more suitable ones for children are pulsed dye lasers with 595 and 585 nm wavelengths. 2. Systemic medication: When laser is ineffective (after the hemangioma continues to grow beyond the depth of laser treatment) or cannot or cannot be surgically removed (head and face, end of extremities, genitals, both breasts, etc.) systemic medication can be used to promote the self-resolution of the hemangioma. Since the beginning of 2011, our department has been using medication (short-term hormone shock and long-term oral insulin) plus laser treatment for all hemangiomas on the head, face, end of extremities and genital organs, and there have been no ineffective cases so far. This can minimize the possibility of disfigurement and disfigurement, and give the child a bright and shining tomorrow forever! 3, surgical excision: Plastic surgery uses minimally invasive plastic surgery techniques for surgical treatment, in addition to taking comprehensive measures such as topical scar inhibiting drugs and local pressure bandages to suppress the growth of post-operative scar to a minimum, the sutures used are 6-0 and 7-0, i.e., thinner than a hair, so that the incision heals with only At present, we have given up the method of using sutures to directly suture the skin and use medical glue to glue the incision directly after the surgery after subcutaneous reduction treatment, so that the incision cannot see the eye of the needle and the cosmetic effect is better; the disadvantage is that parents are generally afraid of surgery and anesthesia, but this is the method with the highest cure rate, and general anesthesia does not have any effect on intelligence, and there is no residual chemical or radioactive substance in the body. There will not be any residual chemical or radioactive substances in the body. 4.Interventional treatment: Under the guidance of imaging, a catheter is inserted into the artery to reach the vascular lesion, and then various embolic agents, emboli and sclerosing agents are injected into the lesion to make the hemangioma subside quickly. It is suitable for huge, deep and special hemangiomas (especially huge hemangiomas of the head, face and extremities), various venous malformations or arteriovenous malformations. The advantage is that the treatment process is short and the results are rapid. The disadvantage is high technical requirements and certain risks. 5.Local drug injection: It is suitable for some hemangiomas that do not affect the appearance and function of children, such as hemangiomas on the scalp and trunk with deep growth. The advantage is that it is quick and convenient, and does not require hospitalization, and can be treated on an outpatient basis. The disadvantage is that the injection site is easily depressed, because without the guidance of images, the injection in the tumor body of hemangioma will not only harden and shrink the hemangioma, but also the local soft tissues together.